Articles Posted in Illinois Nursing Home Care Act

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Frank Hegyi, 91, was a hospice care resident with dementia at the defendant Fair Oaks Health Care Center in Crystal Lake, Ill. On June 10, 2008, he was sitting in his wheelchair in the facility’s dining room when he stood up and fell, fracturing his right femoral neck. He was hospitalized and died of unrelated causes on June 23, 2008.

His family sued the nursing home for negligence in violation of the Illinois Nursing Home Care Act, maintaining that the nursing home chose not place a “lap buddy” on his wheelchair. Damages were sought for pain and suffering.

The defendant nursing home argued that Hegyi was supervised appropriately and he was in the main dining room of the nursing home where he could be viewed frequently by the staff. The nursing home also argued that the use of lap buddy – essentially a cushion going across the wheelchair – was not required and its use had been decreased pursuant to restraint reduction requirements because state and federal law prohibit the nursing home from using restraints that could not be removed by the nursing home resident.

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Rosemary Jackson was a resident of the defendant’s Nature Health Trail Center in Mount Vernon, Ill., where she was rehabilitating after a colonoscopy at a different facility. She was 85 years old when she returned to Nature Trail following that colonoscopy. Over the next four days she was lethargic and showed signs of changes in her mental status.

Her daughter asked the nursing home staff to call the attending physician, but no call was made. On May 17, 2010, Jackson’s daughter telephoned the attending physician herself and told the doctor of her concerns about her mother’s condition. The doctor ordered an evaluation at the hospital.

An ambulance was called, but Jackson refused to go to the hospital. The daughter maintained that the nursing staff talked her out of going to the hospital.

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Salvador Palmieri was 86 when he underwent heart surgery and then experienced complications, which necessitated prolonged hospitalization in his hospital bed. A week after surgery, a nurse noticed new bedsores on his buttocks.

The hospital’s wound care nurse recommended cleaning and dressing the wound. However, a few months later, while Palmieri was still hospitalized, he became septic.

Palmieri was transferred to another hospital where he was diagnosed as having Stage IV sacral pressure sore, sepsis and other sores on his extremities. In spite of the medical treatment given, Palmieri died of sepsis, respiratory and kidney failure. He was survived by his wife and two adult sons.

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On Dec. 13, 2006, Myron Tucker was admitted to a long-term care facility in Oak Lawn, Ill. Tucker was 52 at the time and was wheelchair dependent with impaired memory and judgment. His medical history included a seizure disorder, right-sided stroke with left hemiparesis, a craniotomy and brain surgery for a ruptured aneurysm.

The defendant physician, internist Dr. Neerja Ahlowalia, was assigned to act as Tucker’s attending physician at the long-term care facility or nursing home. On the night of Tucker’s admission, Dr. Ahlowalia telephoned orders for continuation of two anti-seizure medications as listed on the prescription bottles brought to the nursing home with him. The doctor ordered lab tests to be performed in the morning, including blood level testing of one of those medications. However, the lab tests still had not been done when Dr. Ahlowalia saw Tucker a few days later on Dec. 17, 2006.

Dr. Ahlowalia maintained she verbally asked the nursing home nurses to follow her prior order and she made no changes to her admission orders. This is the only time. Dr. Ahlowalia actually saw Tucker in person.

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The New York Times has reported that a California nursing home fined by the state for substandard nursing care and facing many lawsuits has gone to the bankruptcy court to try to extinguish the burden of these fines and coming judgments. The nursing home faced many lawsuits filed by families on behalf of patients.

The nursing home company, North American Healthcare, which owns and operates 30 nursing homes in California and other Western states, was criticized for taking the bankruptcy route to avoid paying out judgments and verdicts brought by injured or killed nursing home residents.

In 2014, another California nursing home chain filed for bankruptcy for the same reason. Also in Florida, a bankruptcy judge forced Medicaid officials to continue paying a nursing home that was protected under its Chapter 11 bankruptcy filing.

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It is not new that nursing home residents are too often at risk for abuse, neglect and injury in the more than 17,000 nursing home facilities operating in the United States. Too many times these facilities are understaffed or staffed with untrained or unskilled workers. All of this results in many reports of serious physical, verbal and even sexual abuse in Illinois nursing homes and in other states.

It has been more than a decade since there was a two-year investigative study completed that found more than 9,000 instances of abuse. The most common abuse problems are untreated bedsores followed by inadequate medical care, malnutrition, dehydration, falls, inadequate hygiene and cases of wandering residents.

The aging of adult Americans places even more stress on nursing home facilities and long-term care facilities in which the aging are most likely to be residing. The cost of maintaining a resident at a qualified nursing home is now out of reach for many families. Many times a family member or a loved one becomes unmanageable at home because of illness, injury, age, dementia or other onset of the conditions related to aging.

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As the baby boom generation ages, the population of nursing homes is also expanding. Elderly Americans and Illinois residents who reside in nursing homes are likely the most vulnerable members of this aging society. Nursing home cases should not be confused with medical malpractice cases. A medical malpractice case typically concerns particular acts of negligence, such as a failed surgery or misdiagnosis. In contrast, nursing home cases do not involve a particular or discreet act of negligence. Rather, a nursing home abuse case in Illinois involves a pattern of sub-standard care, abuse or neglect.

For example, a nursing home abuse case may involve bedsores. Bedsores can be wounds of the flesh that take form over many days, weeks or even months. A nursing home resident who is dehydrated or suffers from malnutrition would not be the result of a single wrongful act.

Many nursing home cases arise from substandard care, abuse or neglect. Often nursing homes in Illinois operate without a single on-site treating physician; instead, they have only one who may make regular rounds. At the same time, most well-run nursing home facilities provide treatment by a resident physician, a nursing home administrator, a well-trained nursing staff, CNAs, physical and occupational therapists, speech pathologists, wound care doctors, dieticians and other medical and nursing providers.

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It happens that lawyers who handle nursing home abuse cases, medical negligence cases, personal injury cases, wrongful death cases, birth injury cases, product liability cases and general injury cases for those who were injured or killed work on a contingency basis with their clients. That means that the client pays nothing to the lawyer unless there is a recovery by way of a settlement or judgment. At times, cases that have been filed turn out to be not as solid as the lawyer may have envisioned. Sometimes, for other reasons dealing with the handling of the case or a client disagreement, the attorney and client agree to withdraw an appearance in the pending case so that the client can find another lawyer.

In one case that occurred in our practice, a case involving a man who was seriously injured in a motorcycle accident, the attorney first handling the case withdrew early in the litigation and left the client to search for another attorney. The client located an attorney whose primary practice is outside of Illinois, but hired Kreisman Law Offices to act as local counsel.

The case was a very difficult and serious injury case. It involved a motorcycle and road construction. The client hired new counsel and the litigation ensued. After the taking of as many as 50 depositions of fact witnesses, experts and medical witnesses and after a long and tedious mediation, the case was finally settled two years later.

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Mary Dwyer was 87 years old when she was admitted to Harbor View Heath Care Center for a short-term rehabilitation after she had surgery. During the following three months, she lost 20 pounds and developed multiple pressure sores, including a Stage IV sacral wound. Dwyer required two surgical debridements, application of a wound vac to remove fluid from the wound and a diversionary colostomy.

She then suffered a complication, which necessitated the reinsertion of her bowels into her abdomen. Following the surgery, Dwyer died several days later and was survived by her three adult children.

Dwyer’s family filed a lawsuit against the nursing home’s corporate owners and several affiliated companies claiming inadequate nursing home staffing. Specifically, the lawsuit claimed that the defendant nursing home did not have enough certified nursing home aides available to turn her every two hours or a full-time dietician who could assist nursing home residents like Dwyer during meals. After a jury trial, the jury returned a verdict of $13.2 million for this wrongful death action.

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Peter Piel, 62, resided at the Mirajoy Home. When a nurse’s aide attempted to transfer Piel from his bed to a shower chair, he fell, hitting his head, fracturing his left hip and injuring his right leg. He required surgery for the hip and was diagnosed as having brain damage and chronic pain. His injuries and permanent condition are all related to his fall at the assisted living facility.

Through his guardian, Piel filed a lawsuit against the nursing home and its owner claiming improper staffing and training. Among other things, the lawsuit claimed that there should have been two aides transferring Piel to that shower chair.

The defendants argued that his injuries were not related to his fall. They contended that the aide had caught him before he hit the floor and that his injuries were not as significant as claimed. Before the case went to trial, the parties settled for $1,500,000. The attorneys representing Piel’s guardian were Michael F. Moran and Alexander H. Feldman.

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